Individual provider Active NPI

Aja Danielle Walker

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1245755669
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33279 Issued in TX
Practice address
1933 N Central Expy Ste 520
McKinney, TX 75070-3685
Phone
(214) 601-7553
Fax
(214) 601-7553
NPI assigned
Aug 7, 2017
Last updated
Aug 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33279 TX Primary

Addresses

Primary practice location

1933 N Central Expy Ste 520
McKinney, TX 75070-3685

Mailing address

1533 Summerwood LN
Cedar Hill, TX 75104-3901
Phone (214) 601-7553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027000911 TX Order and Referring Only - DentistPractitioner - Dentist 3779859228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33279TXMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1245755669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 SUMMERWOOD LN",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043901",
            "telephone_number": "214-601-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 N CENTRAL EXPY STE 520",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703685",
            "telephone_number": "214-601-7553",
            "fax_number": "214-601-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "AJA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.